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Normal anatomy:

During development, the scrotal cavity in boys is connected to the abdominal cavity via a structure called the processus vaginalis. The processus vaginalis usually closes at birth, or soon after.


Normal anatomy


Indications:

When the processus vaginalis does not close, or closes after fluid from the abdomen has become trapped in the scrotal cavity, it is called a hydrocele. The canal (inguinal canal) between the abdominal cavity (peritoneum) and the scrotum remains open. Fluid from the peritoneum enters the canal and the scrotum, and causes swelling of the scrotum. In some cases, bowel can also pass through the processus vaginalis into the scrotum. This is called an inguinal hernia. If a hydrocele persists past the first six to 12 months of life, it should be surgically repaired. Inguinal hernia in infants is usually repaired within the first three months of life. It is sometimes difficult to distinguish a hydrocele from an inguinal hernia on exam.


Indications


Procedure:

While the baby is deep asleep and pain-free (general anesthesia), an incision is made just above the groin. The open canal between the abdominal cavity and scrotum (inguinal canal) is repaired, the fluid is removed from the scrotum, and the incision is closed.


Procedure


Aftercare:

Surgery usually completely corrects the defect, and the long-term prognosis is quite excellent. Hydrocele repair is done on an outpatient basis and recovery is usually brief. Most children can return to normal activity within about four to seven days.


Aftercare



Review Date: 9/7/2008
Reviewed By: Linda Vorvick, MD, Seattle Site Coordinator, Lecturer, Pathophysiology, MEDEX Northwest Division of Physician Assistant Studies, University of Washington School of Medicine; and Louis S. Liou, MD, PhD, Assistant Professor of Urology, Department of Surgery, Boston University School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
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Wentworth-Douglass Hospital
789 Central Avenue, Dover, NH 03820
Phone: (603) 742-5252
Toll free: 1 (877) 201-7100